Cervical cancer screening after 50: near extinction?

Objectives: The objectives of this study were to determine the prevalence and predictors of Pap smear screening among women aged 50 years and older. Study design: This cross-sectional study was conducted at two large urban health centres in Selangor. A total of 515 women aged 50 and older were recruited. Results: The mean age of the respondents was 58.83 +/- 7.05, with a range of 50-83 years. The prevalence of Pap smear screening was 39.22% (n =202). From the multivariate analysis, Pap smear screening was significantly associated with health care provider advice (adjusted odds ratio (AOR) = 18.75; 95% CI = 8.30, 42.37); tertiary (AOR = 11.26; 95% CI = 1.50, 84.68) and secondary education level (AOR = 9.47; 95% Cl = 1.43, 62.84); use of contraception (AOR = 2.90; 95% Cl = 1.48, 5.69); heart disease (AOR = 0.22; 95% CI = 0.05, 0.97); and worry about Pap smear results (AOR = 0.20; 95% CI = 0.09, 0.42). Conclusion: The prevalence of Pap smear screening in the older women is unsatisfactory. Health care provider advice, education level, use of contraception, heart disease and worry about Pap smear results were predictors of undergoing Pap smear screening in this study population. (C) 2016 Elsevier Ireland Ltd. All rights reserved.